Individual provider Active NPI

Rebecca Roepke, MSW, MA, LICSW

  • Clinical Social Worker
  • Bloomington, MN
National Provider Identifier
1477954550
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
23297 Issued in MN
Practice address
2626 E 82ND St Ste 325
Bloomington, MN 55425-1386
Phone
(651) 237-2171
NPI assigned
Sep 9, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 23297 MN Primary
Poetry Therapist 102X00000X

Addresses

Primary practice location

2626 E 82ND St Ste 325
Bloomington, MN 55425-1386

Mailing address

2626 E 82ND St Ste 325
Bloomington, MN 55425-1386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260617004049 MN Practitioner - Clinical Social Worker 6901378298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1818 Wooddale Dr
Suite 110
Woodbury, MN 55125-2947

8581 135TH St W
Apple Valley, MN 55124-9512

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23297MNMDNeurology Physician

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1477954550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 E 82ND ST STE 325",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 E 82ND ST STE 325",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251386",
            "telephone_number": "651-237-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEPKE",
        "first_name": "REBECCA",
        "credential": "MSW, MA, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "23297",
            "primary": true
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

Verify at the official NPI Registry.